延续性护理模式对老年跌倒患者抑郁症状和生活质量的影响  

Effects of a continuing nursing mode on depressive symptom and life quality with elderly fall-related patients

作　　者：黄淑芳[1] 叶文秋[1] 林绍英[1] 李明[1] 许海珍[2] 林凯思 

机构地区：[1]广东省深圳市龙岗中心医院,广东深圳518116 [2]广东省深圳市龙岗区人民医院,广东深圳518172 [3]广东省深圳市龙岗区第二人民医院,广东深圳518114

出　　处：《护士进修杂志》2014年第14期1254-1257,共4页Journal of Nurses Training

基　　金：2012年广东省深圳市科技计划项目(编号:201203311)

摘　　要：目的探讨延续性护理模式对老年跌倒患者抑郁症状和生活质量的影响。方法选取2012年4~12月收治的老年跌倒患者180例,按照患者出院后居住地分配至观察组86例和对照组94例。两组患者均给予常规护理、跌倒评估与预防护理和出院指导。观察组在此基础上出院1年内给予延续性护理。比较两组患者出院后3个月、6个月的老年抑郁量表评分和出院后3个月、6个月、12个月的SF-36评分。结果观察组出院后3个月、6个月的老年抑郁量表评分明显低于对照组(P【0.001),除情感职能(RE)维度外,观察组在SF-36评分中总分和其它7个维度的评分均显著优于对照组(P【0.05)。结论延续性护理模式可降低老年跌倒患者抑郁症状的发生,改善其生活质量。Objective To explore the effect of Continuing care mode to depressive symptom and life quality in eld- erly fall-related patients. Method 180 elderly fall-related patients were randomly divided into 86 cases of experimen- tal group and 94 cases of control group by coin tossing. Two groups both received conventional care, fall assessment and prophylaxis care, instruction of discharge. Experimental group received continuing care within 1 years after dis- charge from hospital. Geriatric depressionscale was used to compare two groups of patients in 3 and 6 months after discharge from hospital and also SF-36 scale in 3, 6 and 12 months after discharge. Result Geriatric depression scale of experimental group in 3 and 6 months after discharge from hospital was significantly lower than control group（P 〈0. 001）, total and other 7 dimension score of SF-36 scale were significantly higher than control group except RE dimension score（P〈0.05）. Conclusion Continuing care mode can reduce depressive symptoms in elderly fall-related patients and improve quality of life.

关 键 词：延续性护理 跌倒 抑郁 生活质量 

分 类 号：R473.59[医药卫生—护理学]